New guidelines and actions pertaining to pain management

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Rocker Dan
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Dear Pharmers, It has come to light after much investagations that certain groups are putting us under attack from all sides regaurding pain management and perscribing practices. I have talked with doctors,pharmisists and people who are under a doctors care for chronic pain management and have learned the folowing:  The CDC,AMA, and also the DEA have launched a all out war on us,people who obtain perscriptions for real health issues.The DEA has ordered drug companys to scale back production by 25% or more over last year leaving almost nothing in case of a shortfall.The AMA sent out a recamendation letter stating that opiods should be only used for cancer,pallitive and end of life situations.The CDC sent out a similer memo saying that benzos such as Valium,Xanax and Klonipin ect. should not be percribed along with any opiods!!!i talked with my doctor of 7 years and he has cut my Valium(which  was on since 1973)down from 40mgs per day to 5mgsper day and will be stopping that as of our next visit.Many more people i have spoke with said same as well as cutbacks within the pain medication as well.i also talked with my pharmisist and heard that most all of thier clients are being scaled back as well!!!several drug companys have gone out of the pain med bussines as well.the reson i am hearing is that "this is the only way to curb the problem of missuse"We should ALL use this great forum here to talk between us and try and comprehend what in the world is going on as the "powers that be" try and take away our rights to live pain free,sincerly, Rocker Dan

Rocker Dan
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best read

BEST READ ABOVE POST: I have spent countless hours interviewing several health care profesanals as well as  chronic pain sufferers to compile the above.  We as a "free nation" are under a full scale attack from several government agencys.Thier goal(AMA, DEA,and CDC) is to cut out any and all persons who are not dianosed with cancer, pallitive pain and end of life situations.Even as it may sound strange but we may have to include lawyers just to obtain our medications in the extremly near days ahead!!! Large drug companys really do not care as they to "ease our pain as they are going to market with incresenly more dangerous drugs with side affects beyond comprehension.Opiods are fastly becoming a thing of the past as new medications are interduced to combat chronic conditions once controlled by traditional means.It seems like a scary movie but with the advent of an attack on doctors and patients who obtained substaninal releif from opidiods now will be at the whim of certian government agencys!!! Only mass disussions and major trusted doctors can save us from becoming once again "a nation of sheep".Rocker dan

Rocker Dan
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HELP ON THE WAY

I have had it with doctors playing G-D!!!  I have such intense pain at this very moment that i am throwing out any and all rules set forth by people in charge who have not had  major pain...........I took my medication as directed tonight and it is 2:42 am and pouring rain,and i cannot stand any more pain today.......I took a dose of 60mgs of Morphine ER and 2 10mg Oxycodones and am still in pain.I do not get"a kick" from taking more than percribed however I will not endure any more horible pain(s) now!!!! I took another round and will lie down on my heating pad.I refuse to let some moron tell me what i feel or what i should take or not take.I stoped valium theese last three months and I will take as much medication as needed to releave my suffering!!! Whos gonna stop me?You? Them? I dont think so!!!! how dare the powers that be tell me what to do with my body or medicne! Start me up,man,start me up!!!!!!!!!!!!!We all have to rise up angrey in order to be heard.  RD

gtrplayer
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Agree on some parts, disagree with others

I think your post covers a lot of things that we have heard either in the media publications, or worse yet, media television news-drama shows. Even the election debate had a candidate state that he (or she) would propose a 25% decrease in the opioid pain medication quotia. The problem is, for this to happen, a lot of things would first have to be passed into law, such as free detox appointments or free medication management.

The only thing the DEA and CDC have managed to accomplish is to create a mass hysteria, which in turn, leads to OD deaths when a dependent patient is afraid they will have their meds stopped. My psychiatrist, who I see once a month for my klonopin, recently told me I'd have to see a neurosurgeon before he'd rx any more klonopin. Well, that backfired as I simply told my reg doc about it and he switched me to a new psychiatry group. However, my general dr also told me he was afraid this would become more common as I was not the first one to call his office and ask for a new referral. Off topic a bit here, but remember when "dr shopping" was the big thing the DEA was going to crack down on? Well, how'd that go for them. I actually have to choose drs from a list that I am willing to see now, because other than my gp, all drs appointments for my insurance requires a referral. I'm still seeking a pain dr who rxs suboxone for pain (yes, it does work remarkably well for pain, as buprenorphine was developed as a pain drug). So, my hat is off to the DEA on not only failing to curb one problem, but to exacerbate current problems and create new ones.

I am in no way an anti-government anarchist, but  just as a banker can't be relied upon to assemble a massive sports stadium, a government agency should not dictate proper prescribing. People were overdosing long before recent years, but someone who owns a news outlet lost a daughter to an illegal opiate overdose, and the crusade has been on ever since.

If you feel you are being treated unfairly by your dr, i strongly urge everyone to contact The Legal Side Of Pain [dot]com. 

DyBNaps
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Rocker

I agree with many things you say. My meds of 8 yrs were cut back 50 percent the last year, for no reason other than the Dr at my pain management  office said even though it works, DEA is requiring them to cut back all patients as much as possible, with no patient being given no more than 120 pills max of any combination meds, i.e., ER or IR pain meds. And absolutely no meds like valium, K-pins, xanax, used at all, even if given by a psychiatrist before pain meds were started. And all patients at my clinic have to take meds like cymbalta, zoloft, paxil to rule out pain from depression issues. The old idea that anyone in pain must be depressed, and not that pain causes pain in Crohnic every day pain suffers.

I just hate that the news never once puts a person on that tells a good story of how pain meds saved their quality of life, and gave them hope. There are many of those people out there, but the news wants all doom and gloom, and pain med takers must all be faking it, and seekers. I am about to just taper off completely, or talk to my dr about Suboxone, my office rxs that if needed, and quit trying to jump through hoops for people other than my dr, that dont know my suffering. It;s just getting old, the rat race of it all.

I took biologic meds that were 20K a month, and that almost killed me with no problem from insurance, or the DEA, that was off label, and didn't work well, and failed to cure me, but a cheap pain med, that in combination with my alternative meds gives me daily breaks from sufferring, and I dont get a say so with my drs approval to use a appropriate levels, because of presidential, and DEA hassle. The DEA has lost the war on other drugs, so they attack the mostly legitimate population, so they can keep their jobs, and scare the population into submission. Wait until these people, or their families need these life saving meds, and they cant get them.

Rocker Dan
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Pain VS DEA/CDC

Its a shame that we pain people have to become a politiacal football is this war on drugs.About ready to move to Canada.So serious am I that I would chalange the fact that we live in a free country.MY BODY,MY CHOICE!!!!   Back off please.

Rocker Dan
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No way they should takr away pain medicnes

The new "law" that pain sufferers should put up with pain,or take 25 to 50% cut in thier meds is not allright period!!!    I also heard that no more than #120 pills containing a combo of Extended realese and break through  medicnes I am calling the DEA to find out the facts or order my pain doctor to produce such a demand and or letter. My pharmisit says this now is only a sugested request.We as a group who has done no wrong shall not be the pawns in a game our government or a faction of shall let them prevail.I will make this my sole battle if nessacary.Rocker Dan

Rocker Dan
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Cutbacks

Dear Dy,where did you here about a #120 pain pill amount? I ask as I get 90 60mg morphines and #120 Oxycodones 10s or 15s  and need to know as i go in to see my doctor on election day and want to be well armed.with the facts.............If this 120 law is fact then I need to switch my morphine to a 100mg and my Oxys up to a 30mg since I would be getting only 60 for breathrough.My Dr.refuses to sign a PA for Oxycontin 60 or 80mgs.I was on Oxycontin 40 mgs for a few years till the price went up in 2010 as no generics were around anylonger,thanking you in advance, RD

goat
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re:

 i am at 150...up from 120....and i believe they will go to 180 per month at my pharmacy

Rocker Dan
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120

Dear Goat,thank you.I did find out that was for one person,not all of us!!! But thank you anyaway!!!  RD

DyBNaps
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They state of Nebraska

The state of Nebraska changed their laws. No more than 120 BT and 150 total for Nebraska Medicaid insurance. So my office changed their prescribing to 120 for everyone, including private insurance. Neb was the last state without a computer monitoring system, but that is no longer true. They passed new laws because a congress person lost a family member to overdose, so now they are vilifying anyone who takes pain meds, and the Dr's who prescribe. Funny thing was that the meds didnt even come from NE, but prescriptions written in another state.